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Toxine botulique de type A pour la migraine

Botox

Botulinum toxin type A is a specialist treatment for migraine.

To be eligible for this treatment you must have headaches for 15 or more days each month, with migraine headaches being on at least eight of these days.

It will be given by multiple injections into the muscles around your head and neck.

If you experience any difficulty swallowing, speaking, or breathing after the treatment, speak with your doctor immediately.

At a glance

  • Botulinum toxin type A is a neurotoxin used to prevent chronic migraine headaches.

  • It is offered when other preventive headache medicines have not worked.

  • To be eligible, you must have headaches on 15 or more days a month, with 8 days being migraine.

  • Injections are given into muscles around your head and neck by a trained doctor.

  • Treatment is usually repeated every 12 weeks if it is successful.

  • Tell your doctor if you have muscle problems, swallowing or breathing difficulties, or an infection.

  • Seek medical help immediately for difficulty swallowing, speaking, or breathing after treatment.

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About botulinum toxin type A

Type de médicament

A bacterial neurotoxin

Utilisé pour

To prevent headaches associated with chronic migraine in adults

Aussi appelé

Onabotulinumtoxin A (in US); Alluzience®; Azzalure®; Bocouture®; Botox®; Nuceiva®; Xeomin®

Disponible sous forme de

Injection

Botulinum toxin type A is a protein substance which is produced by the bacterium Clostridium botulinum. It is a neurotoxin which means that it interferes with the way nerves work. To be eligible for this treatment you must have headaches for 15 or more days each month, with migraine headaches being on at least eight of these days. You must also have tried several other medicines to prevent migraine before this treatment is prescribed for you.

Botulinum toxin type A is thought to work in chronic migraine by relaxing muscles and by blocking the pain signals which are involved in the development of a migraine. These actions may have the effect of stopping a migraine headache from being triggered.

Botulinum toxin injections are also used for other reasons (including cosmetic purposes, muscle spasms, bladder problems, and excessive sweating). This leaflet does not cover the use of botulinum toxin type A in these ways.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before being treated with botulinum toxin type A for migraine, make sure that your doctor knows:

  • Si vous êtes enceinte, essayez d'avoir un bébé ou allaitez.

  • If you have an infection or any swelling near any of the areas that will be injected.

  • If you have any muscle problems, particularly any muscle weakness.

  • If you have ever had any difficulty in swallowing or with your breathing.

  • Si vous prenez d'autres médicaments. Cela inclut tous les médicaments que vous prenez et qui sont disponibles à l'achat sans ordonnance, ainsi que les médicaments à base de plantes et les médecines complémentaires.

  • Si vous avez déjà eu une réaction allergique à un médicament.

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  • Before you start the treatment, ask to read the manufacturer's printed information leaflet from inside the pack. It will give you more information about Botox® and will provide you with a full list of the side-effects which you may experience from having it.

  • You will be given botulinum toxin type A by a doctor who is trained in the use of this treatment. It will be injected into the muscles around your head and neck in several different places.

  • If the treatment proves successful for you, your doctor is likely to recommend that it is repeated every 12 weeks.

  • If you are having an operation or dental treatment, tell the person carrying out the treatment that you have received botulinum toxin type A.

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Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with botulinum toxin type A. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects may occur following a treatment session even if you have been free from side-effects on previous treatments. You should speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common Botox® side-effects (these affect fewer than 1 in 10 people)

Que puis-je faire si je ressens cela ?

Pain at the sites where you have been injected, neck and muscle pain or stiffness, muscle weakness, skin rash and itching

These should soon pass, but if any becomes troublesome, speak with your doctor

Worsening of headache or migraine

Parlez-en avec votre médecin

Eyelid drooping or swelling, paralysis of the face

Parlez-en avec votre médecin

Important: if you experience any difficulty swallowing, speaking, or breathing, speak with your doctor immediately or go to your local accident and emergency department straightaway.

If you experience any other symptoms which you think may be due to the treatment, speak with your doctor or pharmacist for further advice.

Informations importantes sur tous les médicaments

Ce médicament est pour vous. Ne le donnez jamais à d'autres personnes, même si leur état semble être le même que le vôtre.

If you buy any medicines, check with a pharmacist that they are safe to use alongside this treatment.

Ne gardez pas de médicaments périmés ou indésirables. Apportez-les à votre pharmacie locale qui s'en débarrassera pour vous.

Si vous avez des questions concernant ce médicament, demandez à votre pharmacien.

Signaler les effets secondaires d'un médicament ou d'un vaccin

Si vous ressentez des effets secondaires, vous pouvez les signaler en ligne via le Yellow Card website.

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Vérifiez les interactions possibles entre les médicaments, les compléments et les aliments avant de les prendre ensemble.

Questions fréquemment posées

What specifically is botulinum toxin type A and where does it come from?

Botulinum toxin type A is a protein substance. It is produced naturally by a bacterium called Clostridium botulinum. It works as a neurotoxin, meaning it affects how nerves function.

How does botulinum toxin type A help to prevent chronic migraine headaches?

It is thought to work by relaxing muscles and blocking the pain signals involved in migraine development. These actions may help prevent a migraine headache from starting.

Who can receive botulinum toxin type A injections for migraine prevention?

You must experience headaches for 15 or more days each month, with at least eight of those being migraine headaches. Also, you need to have tried several other migraine prevention medicines unsuccessfully before this treatment can be prescribed.

Are there other uses for botulinum toxin injections besides chronic migraine?

Yes, botulinum toxin injections are used for various other conditions including cosmetic purposes, muscle spasms, bladder problems, and excessive sweating. However, this article focuses specifically on its use for chronic migraine prevention.

How often would I need to receive these injections if the treatment is effective?

If the treatment works well for you, your doctor will likely recommend that the injections are repeated every 12 weeks.

What should I do if I experience side-effects like pain or muscle stiffness after the injection?

Pain at the injection sites, neck and muscle pain or stiffness, muscle weakness, skin rash, and itching should typically pass soon. If any of these become troublesome or continue, you should speak with your doctor.

What are some of the more serious side-effects I should be aware of?

Serious side-effects can include eyelid drooping or swelling, or paralysis of the face; you should speak with your doctor about these. More urgently, if you experience any difficulty swallowing, speaking, or breathing, you should contact your doctor immediately or go straight to Accident and Emergency.

Lectures complémentaires et références

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About the authorView full bio

Author image

Michael Stewart, MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewer

Author image

Sid Dajani

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

Historique de l'article

Les informations sur cette page sont rédigées et examinées par des cliniciens qualifiés.

  • Prochaine révision prévue : 18 sept. 2026
  • 19 sept. 2023 | Dernière version

    Dernière mise à jour par

    Michael Stewart, MRPharmS

    Revu par

    Sid Dajani
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